Organization · Type 2 NPI

Etl- Northeast LLC

Clinical Medical Laboratory · Doraville, GA

NPI number 1396313813 Active

Practice location

3610 Dekalb Technology Pkwy Ste 125
Doraville, GA 30340-3607

Mailing address

2566 Shallowford Rd NE Ste 104P367
Atlanta, GA 30345-1249

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000XNone listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1396313813

Etl- Northeast LLC's National Provider Identifier is 1396313813, issued on Jun 11, 2021. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Doraville, GA. The record was last updated on Jun 11, 2021.